Podcasts about hypertensive

Contributor: Aaron Lessen, MD Educational Pearls: Many patients present to the ED with elevated BP Many are referred from outpatient surgery centers or present after an elevated measurement at home Persistent questions on the best way to treat these patients The AHA published a scientific statement on the management of elevated BP in the acute care setting Hypertensive emergencies: SBP/DBP >180/110–120 mm Hg with evidence of new or worsening target-organ damage Includes aortic dissection or subarachnoid hemorrhage  Require aggressive treatment Asymptomatic markedly elevated inpatient BP: SBP/DBP >180/110–120 mm Hg without evidence of new or worsening target-organ damage AND asymptomatic elevated inpatient BP: SBP/DBP ≥130/80 mm Hg without evidence of new or worsening target-organ damage No benefits to urgent treatment in the ED, but there are harms to treating patients in this manner These patients do not require IV medications  Provide reassurance and instructions on following up with their PCP to manage their BP in the outpatient setting Removed the term “hypertensive urgency” References Bress AP, Anderson TS, Flack JM, et al. The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association. Hypertension. 2024;81(8). doi:https://doi.org/10.1161/hyp.0000000000000238 Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS3  Donate: https://emergencymedicalminute.org/donate/  

ESC TV Today brings you concise analysis from the world's leading experts, so you can stay on top of what's happening in your field quickly. This episode covers: Cardiology This Week: A concise summary of recent studies Hypertensive disorders during pregnancy Depression and heart disease Mythbusters: "The French Paradox" Host: Perry Elliott Guests: Carlos Aguiar, Martha Gulati, Hector Bueno Want to watch that episode? Go to: https://esc365.escardio.org/event/1796 Disclaimer: ESC TV Today is supported by Bristol Myers Squibb. This scientific content and opinions expressed in the programme have not been influenced in any way by its sponsor. This programme is intended for health care professionals only and is to be used for educational purposes. The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices. Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC. Declarations of interests: Stephan Achenbach, Martha Gulati, Nicolle Kraenkel have declared to have no potential conflicts of interest to report. Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, AbbVie, Alnylam, Amgen, AstraZeneca, Bayer, BiAL, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, GSK, Lilly, Novartis, Pfizer, Sanofi, Servier, Takeda, Tecnimede. Hector Bueno has declared to have potential conflicts of interest to report: research funding from the European Union (EU4H-2022-JA-03), Instituto de Salud Carlos III, Spain (FORTALECE program, PI21/01572), Sociedad Española de Cardiología, AstraZeneca, Boehringer Ingelheim, Janssen, and Novartis; and has received in the past consulting/speaking fees from Astra-Zeneca, Novartis, Novo Nordisk and Organon. Davide Capodanno has declared to have potential conflicts of interest to report: Bristol Myers Squibb, Daiichi Sankyo, Sanofi Aventis, Novo Nordisk, Terumo. Perry Elliott has declared to have potential conflicts of interest to report: consultancies for Pfizer, BMS, Cytokinetics, AstraZeneca, Forbion. Steffen Petersen has declared to have potential conflicts of interest to report: consultancy for Circle Cardiovascular Imaging Inc. Calgary, Alberta, Canada. Emma Svennberg has declared to have potential conflicts of interest to report: Abbott, Astra Zeneca, Bayer, Bristol-Myers, Squibb-Pfizer, Johnson & Johnson.

$5 Q-BANK: https://patreon.com/highyieldfamilymedicine Intro 0:30, Hypertension classifications 1:45, Lifestyle modifications 3:00, Thiazide diuretics 4:16, ACE Inhibitors and ARBs 5:59 Calcium channel blockers 8:15, Beta blockers 9:36, Mineralocorticoid receptor antagonists 10:49, Goal-directed medical therapy 12:49, Resistent hypertension 15:37, Other antihypertensives 16:38, Hypertensive emergency 20:33, Hypertension in pregnancy 23:00, Primary hyperaldosteronism 24:38, Renal artery stenosis 26:24, Cushing syndrome 27:22 Pheochromocytoma 28:53, Obstructive sleep apnea 30:26, Coarctation of the aorta 31:30, Practice questions 32:30

In this podcast, Dr. Valentin Fuster discusses a study revealing that women with hypertensive disorders during pregnancy face a higher risk of early coronary artery disease and myocardial infarction. The findings emphasize the need for proactive cardiovascular monitoring and tailored prevention strategies, as these women are more susceptible to both obstructive and non-obstructive heart conditions later in life.

Dr. Hannah Youmans teaching on Hypertensive Disorders in Pregnancy Definitions Pathophysiology Epidemiology & Prevalence Management Long Term Health Conditions

In this episode, hear from leading experts as they define the major health issues in hypertensive disorders associated with pregnancy. Learn how to outline the appropriate work-up to diagnose hypertensive disorders in pregnancy; discussion to include postpartum care recommendations. 

Obstetric Physician and Nephrologist Dr Vishwas Raghunath has a wealth of experience in managing complex medical conditions in high-risk pregnancies.In this episode of sMater, Vish discusses hypertension, the most common medical problem encountered in pregnancy.From screening to management and preventative strategies, GPs can hear a range of approaches to ensuring mum and baby remain safe, from conception all the way through the post-partum period.To learn more about Mater, visit www.mater.org.au____00:00 - Introduction01:50 - Changes to preeclampsia guidelines02:33 - Determining risk and initial recommendations05:28 - Hypertensive disorders in pregnancy09:21 - Antihypertensive medication recommendations13:55 - Testing for non-typical cases16:15 - Delivery of baby19:45 - Advice for post-partum care22:10 - Biomarkers in early pregnancy24:11 - Future of treating hypertension in pregnancy26:15 - The Check Up----#maternityhealth #education #podcastTo learn more about Mater, visit https://www.mater.org.au/

This episode breaks down hypertensive crisis - what it is, how to recognize it, and the steps nurses can take to manage it effectively. You'll learn the two main types of hypertensive crisis: hypertensive urgency and hypertensive emergency, and get tips on how to assess for signs of organ damage. Key takeaways include: Definition and parameters for hypertensive crisis Tips for getting an accurate blood pressure Factors that can cause a falsely elevated reading Signs of end-organ damage Medications used to treat hypertensive crisis ___________________ Full Transcript - Read the article and view references FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! Study Sesh - Change the way you study with this private podcast that includes dynamic audio formats that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh!  Med Surg Solution - Are you looking for a more effective way to learn Med Surg? Enroll in Med Surg Solution and get lessons on 57 key topics and out-of-this-world study guides.  Straight A Nursing App - Study on-the-go with the Straight A Nursing app! Review more than 5,000 flashcards covering a wide range of subjects including Fundamentals, Pediatrics, Med Surg, Mental Health, Maternal Newborn, and more! Available for free in the Apple App Store and Google Play Store. Pharmacology Success Pack - Want to get a head start on pharmacology? Download the FREE Pharmacology Success Pack.  Fast Pharmacology - Learn pharmacology concepts in 5 minutes or less in this audio based program. Perfect for on-the-go review!

Findings suggest significant increase in emergency department utilization for hypertensive disorders of pregnancy over 14 year span.Visit Health Lab to read the full story.The transcript for this episode can be found here.For the latest in health research and information, subscribe to our weekly newsletters.Health Lab is brought to you by the Michigan Medicine Department of Communication. Michigan Medicine is the academic medical center for the University of Michigan. Health Lab is a part of the Michigan Medicine Podcast Network. You can subscribe to Health Lab on Apple Podcasts, Spotify, Stitcher or wherever you listen to podcasts. Hosted on Acast. See acast.com/privacy for more information.

Listen as Dr. London Smith (.com) and his producer Cameron discuss Hypertensive Nephrosclerosis with special guest Suzy Sushi (Mae Sakasegawa). Not so boring! https://www.patreon.com/join/jockdocpodcast Hosts: London Smith, Cameron Clark. Guest: Mae Sakasegawa. Produced by: Dylan Walker Created by: London Smith

Contributor: Kiersten Williams MD, Travis Barlock MD, Jeffrey Olson MS2 Show Pearls Hypertensive disorders of pregnancy are one of the leading causes of maternal mortality worldwide. Hypertension (HTN) complicates 2-8% of pregnancies The definition of HTN in pregnancy is a systolic >140 or diastolic >90, measured 4 hours apart There is a range of HTN disorders Chronic HTN which could have superimposed preeclampsia (preE) on top Gestational HTN in which there are no lab abnormalities PreE w/o severe features Protein in urine Urine protein >300 mg in 24 hours Urine Protein to Creatinine ratio of .3 +2 Protein on urine dipstick PreE w/ severe features Systolics above 160 mmHg Diastolics above 110 mmHg Headache, especially not going away with meds, or different than previous headaches Visual changes, anything that lasts more than a few minutes RUQ pain, which could present as heartburn Pulmonary edema Low platelets, if

Show notes at pharmacyjoe.com/episode950. In this episode, I'll discuss clevidipine vs nicardipine and the time to reach goal BP in a hypertensive crisis. The post 950: Is clevidipine no faster than nicardipine to reach goal BP in a hypertensive crisis? appeared first on Pharmacy Joe.

Hypertensive Disorders of Pregnancy and CV Risk    Guest: Thais D. Coutinho, M.D. Hosts: Paul A. Friedman, M.D.   Hypertensive disorders of pregnancy are common and are associated with a significant increase in the risk of future cardiovascular diseases. Despite the well-established statistics, this increase in risk is not well recognized by patients or healthcare providers. The objectives of this podcast are to highlight the cardiovascular risks associated with hypertensive disorders of pregnancy, describe strategies to identify and mitigate this risk, and identify knowledge gaps and research opportunities in the field.   Topics Discussed: Can you explain what are the hypertensive disorders of pregnancy? After a woman is diagnosed with a hypertensive disorder of pregnancy, what are the cardiovascular consequences? How should clinicians approach a patient with history of hypertensive disorder of pregnancy, in order to understand and minimize their cardiovascular risk? Tell us about some of your research in this field. What are the major needs for new research and clinical translation in this field?   Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.

In this episode of Cardiology Digest, we dive into top journals like JAMA Cardiology to bring you three of the most compelling recent research papers from the field of cardiology. STUDY #1: First, see how the new Boston Scientific cryoballoon measures up against Medtronic's product. Did the newcomer outshine the veteran, or does it come with hidden risks? Discover the head-to-head results and what they mean for the future of atrial fibrillation cryoablation.  Reichlin, T, Kueffer, T, Knecht, S et al. 2024. PolarX vs Arctic Front for cryoballoon ablation of paroxysmal AF: The randomized COMPARE CRYO study. JACC Clin Electrophysiol. In Press, Corrected Proof. (https://doi.org/10.1016/j.jacep.2024.03.021) STUDY #2: Next, we explore the intersection of aging, aortic stenosis, and osteosarcopenia in elderly patients undergoing transcatheter aortic valve replacement. This study highlights a radiographic method that reveals a high-risk subpopulation within this demographic. See how this insight can shape our approach to transcatheter aortic valve replacement, and what it means for patient care strategies. Solla-Suarez, P, Arif, S, Ahmad, F, et al. 2024. Osteosarcopenia and mortality in older adults undergoing transcatheter aortic valve replacement. JAMA Cardiol. 7: 611-618. (https://doi.org/10.1001/jamacardio.2024.0911) O'Gara, P, Guduguntla, V, Bonow, R, et al. 2024, Osteosarcopenia and mortality after transcatheter aortic valve replacement. JAMA Cardiol. 7: 618-619. (https://doi.org/10.1001/jamacardio.2024.1018) STUDY #3: Finally, we turn our attention to the pressing issue of hypertensive disorders in pregnancy. Discover why close postpartum monitoring is critical and what the latest research suggests about the persistence of hypertension in new mothers. Could longer follow-ups hold the key to better postpartum care? Hauspurg, A, Venkatakrishnan, K, Collins, L, et al. 2024. Postpartum ambulatory blood pressure patterns following new-onset hypertensive disorders of pregnancy. JAMA Cardiol. Published online (https://doi.org/10.1001/jamacardio.2024.1389) Join us to unravel these important studies and their implications for your practice and patients. Ready to stay ahead in the rapidly evolving world of cardiology? Hit play and let's get started!  Learn more with Medmastery's courses: Holter Monitoring Essentials (2 CME) Get a Basic or Pro account, or, get a Trial account. Show notes: Visit us at  https://www.medmastery.com/podcasts/cardiology-podcast.

Hypertensive disorders of pregnancy (HDP), including chronic hypertension, gestational hypertension, and pre-eclampsia, are increasingly common in the United States, complicating close to 15% of births, and the incidence is continuing to rise! On this show we have addressed medical management of urgent hypertension in pregnancy and in the immediate postpartum interval. This topic continues to EVOLVE, with a brand new study which has gained a lot of medical news attention. This new study was published in JAMA CARDIOLOGY on June 12, 2024 and is helping redefine the "BP cut off" for medication use in the pp interval. AND...this is evolving within the ACOG as well! We have LOTS of late breaking news to cover here....so listen in!

Interview with Alisse Hauspurg, MD, MS, author of Postpartum Ambulatory Blood Pressure Patterns Following New-Onset Hypertensive Disorders of Pregnancy. Hosted by Sadiya S. Khan, MD, MSc. Related Content: Postpartum Ambulatory Blood Pressure Patterns Following New-Onset Hypertensive Disorders of Pregnancy

Interview with Alisse Hauspurg, MD, MS, author of Postpartum Ambulatory Blood Pressure Patterns Following New-Onset Hypertensive Disorders of Pregnancy. Hosted by Sadiya S. Khan, MD, MSc. Related Content: Postpartum Ambulatory Blood Pressure Patterns Following New-Onset Hypertensive Disorders of Pregnancy

Interview with Hani Aiash, MD, PhD

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Hypertensive Emergency⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠from the Cardiovascular section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

Case Discussion 115 Answer: OCPs in Hypertensive patients

Commentary by Dr. Candice Silversides and Dr. Anna Bortnick

Pharmacotherapy in the Critically Ill Pregnant Patient: Part II Special Guests: Allison Lankford, MD Melissa Thompson Bastin, PharmD, PhD, BCCCP, FCCM, FCCP @mtbastin   04:50 – Obstetric hemorrhage 18:20 – Ectopic pregnancy 22:30 – Hypertensive emergency 28:45 – Pre-eclampsia/eclampsia 35:00 – Lactation considerations 39:35 – Take-home points   Pharmacotherapy “Caring for two in the ICU” articles: Part I: https://pubmed.ncbi.nlm.nih.gov/36938691/ Part II: https://pubmed.ncbi.nlm.nih.gov/37323102/   PharmacyToDose.Com @PharmacyToDose PharmacyToDose@Gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

This episode covers hypertensive retinopathy.Written notes can be found at https://zerotofinals.com/medicine/ophthalmology/hypertensiveretinopathy/ or in the ophthalmology section of the 2nd edition of the Zero to Finals medicine book.The audio in the episode was expertly edited by Harry Watchman.

Commentary by Dr. Candice Silversides

In this episode of the Black Health 365 podcast, Jackie and Britt are joined by Dr. Esa Davis, a U.S. Preventive Services Task Force member. Dr. Davis is a professor of medicine and family and community medicine and holds the positions of Associate Vice President for community health and senior dean of population and community medicine at the University of Maryland School of Medicine. During the podcast, Dr. Davis explains the importance of the US Preventive Services Task Force for hypertensive disorders of pregnancy. She shares how screenings can help diagnose hypertensive disorders like preeclampsia and hypertension. The nationwide initiative can assist expectant mothers and decrease the black maternal death rate in our community. Jackie and Britt hope this information will inspire our community to learn about the U.S. Preventative Services Task Force recommendations and seek medical attention sooner during pregnancy. Dr. Esa Davis is a Task Force member and a professor of medicine and family and community medicine, the associate vice president for community health, and the senior associate dean of population and community medicine at the University of Maryland School of Medicine. She is the lead health equity strategist for the University of Maryland Institute for Health Computing. Dr. Davis is also the director of the Transforming Biomedical Research and Academic Faculty Through Leadership Opportunities, Training, and Mentorship (TRANSFORM) program.See omnystudio.com/listener for privacy information.

AHA23 Congress Coverage: BP control after hypertensive pregnancy (POP-HT)

Hypertensive urgency - asymptomatic patients with elevated blood pressure - is frequently treated in the hospital and outpatient setting. Join host, Geoff Wall, as he critically examines the evidence to assess risk over benefit. The GameChangerTreatment of asymptomatic hypertension has not been shown to improve clinical outcomes. Recent data highlights the risk with increased mortality through aggressive management. HostGeoff Wall, PharmD, BCPS, FCCP, BCGPProfessor of Pharmacy Practice, Drake UniversityInternal Medicine/Critical Care, UnityPoint Health ReferenceAnderson TS, Herzig SJ, Jing B, et al. Clinical Outcomes of Intensive Inpatient Blood Pressure Management in Hospitalized Older Adults. JAMA Intern Med. 2023;183(7):715–723. doi:10.1001/jamainternmed.2023.1667https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2805021 Pharmacist Members, REDEEM YOUR CPE HERE! Not a member? Get a Pharmacist Membership & earn CE for GameChangers Podcast episodes! (30 mins/episode)CPE Information Learning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Explain the difference between hypertensive urgency and emergency2. Discuss recent data about the possible harms of treating asymptomatic hypertension in the hospital setting0.05 CEU/0.5 HrUAN: 0107-0000-23-330-H01-PInitial release date: 10/23/2023Expiration date: 10/23/2024Additional CPE details can be found here.Follow CEimpact on Social Media:LinkedInInstagramDownload the CEimpact App for Free Continuing Education + so much more!

Hypertensive disorders of pregnancy impact many pregnancies and are associated with significant maternal and fetal morbidity and even mortality. In this episode of the kidney commute, we are joined by a maternal fetal medicine (high risk obstetrics) expert, as well as a nephrologist, pharmacist, and patient to discuss these disorders. Patients with kidney disease are at elevated risk of developing hypertensive disorders of pregnancy and it is important that members of the kidney community be able to recognize and treat these conditions, as well as to know when to refer for more help.

In this episode, Dr Abdul Wahab and Dr Atwal discusses about what is hypertensive emergency and its management. Don't forget to check out our "Question of the week" in our Instagram page #mem.cast

Interview with Esa M. Davis, MD, MPH, USPSTF member and coauthor of Screening for Hypertensive Disorders of Pregnancy: US Preventive Services Task Force Final Recommendation Statement. Hosted by JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS. Related Content: Screening for Hypertensive Disorders of Pregnancy Screening for Hypertensive Disorders of Pregnancy Hypertension Screening in Pregnancy Screening for High Blood Pressure Disorders During Pregnancy

In this episode, Dr. Abdul Wahab and Dr. Atwal discuss hypertensive urgency and how to differentiate it from hypertensive emergency.Before listening to this episode, be sure to check out the question of the week on our Instagram page @mem.cast.

Today's guest is Mason McDonald.   Mason is a former hospital CEO turned full-time land flipper that utilizes systems, people, and processes to earn massive profits and invest into commercial real estate. -------------------------------------------------------------- Getting Started in Land Flipping [00:01:16] Becoming a Hospital CEO at 26 [00:02:19] Finding Success in Land Flipping [00:04:40] Different types of land and their profitability [00:09:46] Managing the business through efficient processes [00:11:09]  Using other people's money for deals [00:17:28]  Access to Institutional Capital [00:19:20] Investing in Commercial Real Estate [00:22:39] Managing Volume Business [00:24:48] -------------------------------------------------------------- Connect with Mason:  Linkedin: https://www.linkedin.com/in/mason-mcdonald-748110113/ Facebook: https://www.facebook.com/masonm1/ Web: https://www.coachingwithmason.com/   Connect with Sam: I love helping others place money outside of traditional investments that both diversify a strategy and provide solid predictable returns.     Facebook: https://www.facebook.com/HowtoscaleCRE/ LinkedIn: https://www.linkedin.com/in/samwilsonhowtoscalecre/ Email me → sam@brickeninvestmentgroup.com   SUBSCRIBE and LEAVE A RATING. Listen to How To Scale Commercial Real Estate Investing with Sam Wilson Apple Podcasts: https://podcasts.apple.com/us/podcast/how-to-scale-commercial-real-estate/id1539979234 Spotify: https://open.spotify.com/show/4m0NWYzSvznEIjRBFtCgEL?si=e10d8e039b99475f -------------------------------------------------------------- Want to read the full show notes of the episode? Check it out below: Mason McDonald (00:00:00) - Whenever I got out of the corporate environment in health care, which is the most overregulated industry in the United States, I got creative. And that's where I kind of shot myself in the foot. I didn't get any deals for four months because I was texting and calling and doing all this fun, creative stuff. Then I sent more mail and I got five more deals that made me another 100 grand, you know, right after that. So where I've shifted my approaches, you know, don't get creative until you've worked a system to death, you know, copy and paste what other people are doing, because it works. You don't need to be creative in real estate to make tons and tons of money. You just need to do what works and replicate it and, you know, outsource your and delegate all the stuff you're bad at. Welcome to the How to scale commercial real Estate show.   Sam Wilson (00:00:44) - Whether you are an active or passive investor, we'll teach you how to scale your real estate investing business into something big.   Sam Wilson (00:00:54) - Mason McDonald is a former hospital CEO turned full time land flipper that utilizes systems, people and processes to earn massive profits and invest in a commercial real estate. Mason Welcome to the show.   Mason McDonald (00:01:05) - Sam It's so good to be here.   Sam Wilson (00:01:06) - Absolutely. Mason The pleasure is mine. There are three questions I ask every guest who comes on the show in 90s or less. Can you tell me where did you start? Where are you now and how did you get there?   Mason McDonald (00:01:16) - Heck yeah, yeah. So as you mentioned, I was a hospital CEO that stumbled across land flipping, bought my first deal in November of 2021, sold it in early 2022, and made a profit of 115,000 on my very first deal, which allowed me to prematurely. I had quit my job and jump into this full time. So now, you know, a year and a half in created a business that should have an EBITDA right around one and a half to $2 million this year and, you know, have a full time employee that's managing it for me.   Mason McDonald (00:01:51) - And now I'm focusing on bigger, badder stuff like commercial real estate, raising money, lending money, all that fun stuff.   Sam Wilson (00:01:57) - Man, that's really cool. Let's talk let's talk about this. I see here, for those of you that don't know and I've never actually talked about this on the show, I always just asked this question just to get to know our guests. I always ask, what's one a fun factor, a surprising view about you? And the guest will share that with me there in the in the kind of onboarding section. And it said that you were a hospital CEO at the age of 26.   Mason McDonald (00:02:19) - I was. And I had the blood pressure and health related issues of someone that was, you know, 62 instead of 26.   Sam Wilson (00:02:28) - Right, Right. What how does one become a hospital CEO at 26? I mean.   Mason McDonald (00:02:35) - Yeah. So I you know, I followed the traditional route. You got a good undergraduate degree, got a master's degree and then worked my way up for a large hospital management corporation, went from, you know, being a resident to having 90 employees in my second year to having, you know, I was in my third year and then CEO in my fourth year, got the job offer when I was 26, had just added a lot of value to the company, had, you know, younger, more innovative approach to increasing profit, reducing expense and treating your employees and patients.   Mason McDonald (00:03:09) - Right. So yeah, had a lot of success in corporate America, which is why people think I'm crazy, that I, you know, made it to the top and jump jump ship, you know, a year after being a CEO.   Sam Wilson (00:03:20) - Yeah. So let me I'm bad at math here, Mason and I'm just doing working back 26 minus four years working at the hospital puts you at 22. How did you get an undergrad, a master's degree and all of that by the age of 22, What year did you graduate or how old do you mean graduate High school?   Mason McDonald (00:03:37) - I was a 17 when I graduated high school. My parents just started me, started me in school early. I don't know if it was I was smarter, had too much aid, and they needed to get me out of the house. So school was always kind of easy for me and but I'm more of the entrepreneurial business type, which is why, you know, I wanted to be a doctor originally and made that pivot my senior year of college to, you know, I have an undergraduate neuroscience degree with a premed concentration that, you know, beyond being able to sound fancy and sound smart, never use it anymore.   Mason McDonald (00:04:10) - But yeah, yeah, I was always young, didn't drink alcohol till my senior year of college. So good for.   Sam Wilson (00:04:17) - You. There's a lot to be said for that, man. That's. That's a lot of moving. Moving pieces and. Yeah. Good for you. You're a lot smarter than I am, I promise you that. But you got to the top and you found out there's nothing there. And you said, okay. Yeah. Go do land flipping. How did you stumble across that and why land flipping versus the 1000 other possible ways that you can enter the real estate space?   Mason McDonald (00:04:40) - Yeah, absolutely. Yeah. So made it to the top. And I was I'm a healthy guy, you know, active, decent diet and everything. Hypertensive stage two blood pressure for people listening that my blood pressure was running 165 over 100 which is you know and I worked in a hospital. So that's not not a good look. If the CEO is dying from health conditions in their 20s, from stress.   Mason McDonald (00:05:03) - I was working all the time, sleeping, none So always invested in or interested in real estate. Listen to all the bigger Pockets episodes, read 100 books about real estate and everything and just couldn't get started. I'd saved up some money, was actually going to go invest in a syndication opportunity for a townhome development in Colorado Springs, and the guy that was pitching it also told me that he flips land and he was making about 60 grand a month on his notes that he owner financed on land. And I said, Well, that's more money than the 8% in three years that you're promising me on this syndication deal. So, you know, did did what you know, everyone should do is I invested in education and land flipping. And yeah, that first deal kind of broke my brain of making 100 and 114, 5 or 115 grand on my very first deal. So yeah, that right there broke my. Brain and made me realize, Oh crap, I can make a lot more money with a lot less stress and a lot less work.   Mason McDonald (00:06:01) - You know, flipping the land.   Sam Wilson (00:06:03) - Right, Right. No, that's. That's really, really cool. Is it was it the gambler's curse? Where the first time you go in gamble, you make a pile of money, and then from then on, you just get just get get it handed to you. Or have you found a way to repeat those sort of return profiles over and over.   Mason McDonald (00:06:21) - Repeat over and over. But with that being said, you know, I stopped doing what made sense whenever I do it. So, I mean, I, I target people that have owned land for a long period of time and I direct mail market. And, you know, whenever I got out of the corporate environment and health care, which is the most overregulated industry in the United States, I got creative. And that's where I kind of shot myself in the foot. I didn't get any deals for four months because I was texting and calling and doing all this fun, creative stuff. Then I sent more mail and I got five more deals that made me another 100 grand, you know, right after that.   Mason McDonald (00:06:55) - So where I've shifted my approaches, you know, don't get creative until you've worked a system to death, you know, copy and paste what other people are doing, because it works. You don't need to be creative in real estate to make tons and tons of money. You just need to do what works and replicate it and, you know, outsource your and delegate all the stuff you're bad at.   Sam Wilson (00:07:14) - Right. Well, let's talk We'll get we'll get we'll get to that. How did you educate yourself on this space?   Mason McDonald (00:07:20) - Yeah, I took one of those land flipping courses and then read the books on it, you know, The Dirt Rich by Mark Podolsky and listened to all the podcasts and everything. So I paid for a course and love it, you know, my, my mentor who took the course, we own a commercial building together. He's a good friend and everything. But as I was going through it, I was like, Man, I feel like I just bought snake oil at the county fair because this doesn't seem legitimate.   Mason McDonald (00:07:43) - Legitimate? It doesn't seem real, but.   Sam Wilson (00:07:45) - Right, right. It's funny because I was explaining for those of you again, who are listening that they don't know everything. Of course, we don't talk about everything we get involved in because some of it's just stuff that's you know, there's there's the investments we talk about to our investor base and then there's the stuff that I do on the side that's just kind of like, hey, this is fun to, you know, to go invest in. And land is one of those one of those things where it's like, Oh, hey, you know what? There is an opportunity to generate sizable returns inside of the land space. But what were some of the things maybe in those first four months? I know you mentioned, um, you mentioned that you were trying to get creative, you were doing cold or you in cold calls, you were doing all the different texting, all this different stuff, and you figured out that everybody in the land space says, just go back to direct mail.   Sam Wilson (00:08:27) - Yeah. So. So what, what, what? I guess how much money and how much mail did you send before you ever got your first deal?   Mason McDonald (00:08:35) - Uh, I sent 1200 pieces of mail to make that first deal happen and I'd gotten other deals, but I passed up on them because I didn't think the returns would be as decent. I mean, even now I've got probably 2 or 300 in our cold lead section where we could make money on it. But, you know, if it's buy for 3000, sell for 5000 after, you know, title costs, which I insure every purchase and everything like that, it's not worth it, which is why I go for the, you know, the two deals I was talking about just before the show started, we paid 150 for each of them. So 300 total and we're putting them on the market one for for 50 and one for 275, you know, so it's, it's easier to make 100 grand at once than it is to make, you know, two grand 100 times.   Mason McDonald (00:09:18) - Or you can tell I'm not good at math. So which is why big numbers, I'm like, I don't understand big numbers. Let's do more big numbers.   Sam Wilson (00:09:25) - Right? You to take your shoes off for that one. Hey, so let's talk about this. There's 100 different strategies even inside of the land flipping space. There's people that buy infill lots or people that buy rural only. There's people that, you know, buy like you're talking about commercial development sites. I mean, there's there's a bunch of different strategies there. Have you honed in on one in particular?   Mason McDonald (00:09:46) - So not exactly. I stay away from kind of the recreational land just because that's going to typically sit for a while and you have to do a seller finance deal to make it make sense, which I like the quick return on cash. So but all that to say to me, it's just math. I don't care if it's industrial or commercial or vacant residential if if there's transaction volume in the area, you know, meaning properties are selling in the last 30, 60, 90 days.   Mason McDonald (00:10:14) - And if I can get a legitimate comparable analysis from a local realtor that says, hey, it's worth this much, then it's just, you know, a returns game of okay, and you know, which I attempt to double the money from like a HUD to HUD perspective of, you know, buy for 150, sell for 300 type of stuff. But yeah, so I've built out my business to have both the, the volume business of the, you know, ten, 15 K profit deals and the vacant, the vacant land and the infill lots and the nice subdivisions. And Colorado or Arizona's where we work primarily as well as some of these larger deals where it takes more time, where it's a luxury buyer of we got one that just hit the market a few weeks ago, paid 350 have it on the market for 675, where it's kind of a one of a kind product. So that'll take a few months to sell. But if you can kind of stagger your business and also use other people's money, I don't use my own money in deals anymore.   Mason McDonald (00:11:09) - Um, you know, that's kind of how we built the business. So Jack of all trades master None.   Sam Wilson (00:11:14) - Yeah, let's talk about that. And I like the idea you're talking about the volume business and then also doing the bigger, the bigger deals, because you got to I'd imagine you got to you got to catch the any fish that makes sense. Small fish with the big fish and help you take those down. But how do you how do you manage all that? And then I want to get into the money side of things. So yeah, you manage it from a people and processes perspective because there's a lot of mail to send, There's a lot of data to dig through. There is a lot of phone calls to return and or answer. There are title companies, there's money wire. I mean there's just all these little it almost boils down to a lot of administrative stuff, I would imagine. How do you make that?   Mason McDonald (00:11:54) - It adds up. So, you know, for for anyone in manufacturing or health care that's listening, I have a lean Six Sigma black belt, which is a process improvement methodology, you know, founded by Toyota, so obsessed with efficient processes that reduce waste and eliminate variation.   Mason McDonald (00:12:10) - So I, I pull the data myself now. And since I have such a wide net that I cast, it doesn't take me a lot of time. I send neutral letters. I don't do the blind offers like a lot of people do. You know, I send postcards. I'm the guy that sends the silly postcard of, you know, I want to buy your land for cash. You know, stop paying your property taxes, get paid for your land, stuff like that. So that doesn't take a lot of time to send five, ten, 15,000 letters a month. I have a full time acquisition manager that's salaried plus commission where paying him, you know, not not an overly competitive salary, but a very substantial commission to manage every other aspect of the business. And he's way smarter and way better at it than I am. So he manages it all. We have a call once a week, kind of going through the leads and everything, and he sends me stuff for approval and then he submits it to title and coordinates with the realtor and everything like that.   Mason McDonald (00:13:00) - So for me, it's kind of just, Hey, send a wire this date, which, you know, go online, send a wire really quickly, and then, you know, signing any necessary documents with the title company. So it's it's definitely administrative stuff that down the road I want to outsource when I feel more comfortable, you know, because he just started about a month and a half ago. But yeah, I hate to say it, it sounds as easy as it is, but it is relatively easy to keep it managed. You know, pull the data from prop stream. I use Pebble as my CRM, which you need a CRM if you're doing this much volume. Otherwise you're going to do what I did, which I used Excel for the first nine months and I lost all sorts of leads because I might be decent Excel, but you know, if you have a crayon box CRM that makes it super easy to to do everything, do that. So that's kind of the highest level of how I keep it organized.   Sam Wilson (00:13:51) - How did you find your lead man or call me your lead manager, your acquisitions manager? How did you find that person?   Mason McDonald (00:13:59) - Yeah, I posted on LinkedIn that I was hiring. I've got a pretty big professional network on on LinkedIn and got I got 20 or 30 applications within the first week or two. So of all of them I looked at who would make me the most uncomfortable to hire. And it was by far this guy because he's got 20 plus, 20 plus years of experience in real estate and, you know, commercial, you know, finance, doing finance for big banks, doing land acquisition and multifamily acquisition for large companies. And he runs his own syndication business on the side. So I was like, this guy makes me really uncomfortable to hire because he's way smarter than me, which is always what I recommend doing is hire people smarter than you and it's going to break your mind and change all the paradigms you have because. Then you don't realize what's possible.   Sam Wilson (00:14:48) - Y y love that. Thank you.   Sam Wilson (00:14:50) - Thank you for giving the clarity on who you hire and why. And I don't really heard it expressed that succinctly. It's hard to hire someone that makes you uncomfortable. Think that's really, really cool. Talk to me about the types of sellers that you find. Why? Why are these people selling this land at discount? And then we'll start there.   Mason McDonald (00:15:12) - Yeah. So I try to reduce and simplify everything as much as I can. I'm a pawn shop for land. I buy land for cheap and I sell it for more. I have people that are motivated sellers and I have people that are unmotivated sellers where for me, it's not an emotional decision. It's a math decision of whether the return makes sense. So why people sell to me? You know, I think we're a legitimate business where we can send proof of funds. So many people aren't going to close those deals. You know, and there's plenty of deals I haven't closed. But you're able to communicate and say, hey, this just doesn't fit our buy box.   Mason McDonald (00:15:43) - Sorry. You know, I can refer you to someone else. So I've had sellers as sophisticated as former hedge fund managers out in Connecticut to as unsophisticated as someone that inherited this land that their family's owned for 100 years. So it's just whether or not the price works for them of a lot of people, you know, and depending on your marketing campaign and your tactics and everything, you know, I went hard and heavy on the property tax marketing campaign and people were like, oh, shoot. Uh, you know, property taxes just went way up in Colorado. I want to get rid of this land and stop paying it. So, you know, we come up with a price that's fair. And I always tell everyone or my acquisition manager now tells everyone of, Hey, if you want top dollar, go to a realtor. If you want quick cash and convenience, come to us. You know, let us get this headache off your hands. You know, we'll solve your probate problems. We'll solve whatever problems you have.   Mason McDonald (00:16:31) - And, you know, then you won't have to think about it anymore. It's the same reason people use a pawn shop of, you know, they, you know, had a divorce or they had some something or something, and they don't want to deal with selling it themselves. They're going to just get rid of it to get it off their mind. So. Right.   Sam Wilson (00:16:45) - Yeah, no doubt. No doubt. The same as same pawn shops or even the estate sale analogy or just like bring them in, they auction everything off and then you're done.   Mason McDonald (00:16:54) - Oh, yeah. So it's not always the motivated seller of, you know, I've had people that are like, Hey, I need to claim a loss this year. You know, I'll sell it to you at a discount to claim a loss. So, you know, and the person I'm referencing that did that, you know, we did a I bought two pieces of land from him. You know, I had offered him over over double of what you know, he we ended up walking away with and that's making me I don't know another six figures on those two deals.   Sam Wilson (00:17:19) - That's awesome. Let's talk about the money side of it. You mentioned that you don't use your own money anymore. You use none of your own money or you predominantly use other people's money.   Mason McDonald (00:17:28) - I use other people's money. So I have a, I don't know, maybe ten that I'm selling right now that I have my own cash in right now. But for me, I think it's this. It's a difficult balance for someone that has a relatively high level of understanding of finance, of I know having a ton of cash on hand is not great, but me feeling super liquid helps me sleep better at night. Sure. So I'd you know, I'm happy to give up money in the deal to help, you know, the three F's of friends, families and fools investing with me make insane returns where an investor just makes 6,062% cash on cash return in 71 days. You annualize that. That's over 1,000% just doing a JV deal with me. So it's exciting to be able to help those people. And then yeah, so whenever all of these other ones sell that I have my own cash in, I just I won't use my own cash for anything besides marketing expense, you know, and just general OpEx within the business to help me sleep better at night.   Mason McDonald (00:18:27) - There's more than enough money for everyone to make a ton of money in this. And if if I sleep better and my returns are less, that's a win for me. I didn't leave a hard job to go get another hard job. Right?   Sam Wilson (00:18:38) - Right. Understood that man. Tell me tell me this. What's the what's been the common structure that you've set up with your JV partners? How do you how do you guys take that down and what do you guys find is fair?   Mason McDonald (00:18:49) - Yeah, it varies on the property and kind of the capital invested, but they're basically funding the entire deal, give or take a few hundred bucks of closing costs coming a little higher or something like that. And I do varying profit splits from, you know, 90, ten, ten to the investor, 90 to me all the way up to 5050, where to me, if I get a deal under contract and it's a big one and don't have the cash or refuse to put the cash in the deal, you know, I'll give up more of a profit split than it's probably smart.   Mason McDonald (00:19:20) - So and the point I'm making on that is part of the reason why I'm able to have success in this business where a lot of people are focusing on the desert squares where you buy for 500 and sell for 1500 and can take take these big deals is one. One of my investor networks couldn't do it without them. But two people will realize in land. One of the reasons it's such a hard niche to get into is you're not going to be able to really get access to institutional capital. If you go to a bank and ask them for a loan on, on, on, on a land flip, they're going to laugh at you where it doesn't matter how much money I made. Since the the asset class is different, which is also a pro because I'm not paying capital gains taxes or short term capital gains taxes, it's taxed as inventory since I'm not making any improvement. So you know, and.   Sam Wilson (00:20:04) - I'm missing I missed that.   Mason McDonald (00:20:06) - Yeah. So for the land flippers out there, which I'm not a CPA, not an attorney, this is what my and my attorney have said, blah, blah, blah is land is taxes, is inventory.   Mason McDonald (00:20:15) - So I'm not paying any capital gains taxes on it. It's just inventory. So I have it set up as an escort where I have to pay myself a fair and reasonable salary. And then, you know, I can buy land for 100 grand for 500 grand, and it's just inventory. So pretty cool. Pretty cool set up there. So that's how it's worked so far from a tax perspective for me. But my investors are happy and since you can't really get access to that institutional capital where I bought a new truck last year for the business and even though we we business had been making money and stuff, I had to have my wife co-sign on it and everything. And but that was a fun perk because I got to buy a new truck and then depreciate it fully last year. So, you know.   Sam Wilson (00:20:59) - Right? Yeah. Those are. Those are those are those are excellent benefits to what it is that we do. So like your ideas on money. Think the other thing is that at some point we all run out of money and I think that's one of the things that early on I was gosh was the first deal I syndicated.   Sam Wilson (00:21:16) - In 19. Yeah, it was 2019 and there was this internal and I was new to the newer, to the commercial real estate space. And there was this internal sort of shame that I didn't have all the money personally to take this deal down. And I was like, Oh, man. Like, I got to go like bring friends and family and other people in on the deal. And yeah, I don't have enough of my own money to actually get this deal done. And now it's like, obviously it's what we do every day as raise money because we're taking down deals that I mean, we just can't possibly begin to think about taking down.   Mason McDonald (00:21:44) - Absolutely. Well, you can't grow in scale. And what's going to happen is the inevitable of, you know, I was tired of that entrepreneurial life cycle where I'd go buy a bunch of land and then I'd go sell it and I'd be like, Man, I'm rich. And then I'd go buy a bunch of more land and I'd look at my business checking account and it's like, Dude, how did you allow yourself to get $12 in your checking account? And then it'd sell and I'd be like, No, I'm rich again.   Mason McDonald (00:22:05) - And I just couldn't do that anymore. Which is why it's like, you know, I'd rather be liquid. And then it gives me more opportunity to invest in, you know, syndications and other deals that are going to give me the tax advantages that land doesn't give me. Because even though it's taxed as inventory, if you're making seven figures, that's that's a lot to pay in taxes. So, you know, the strategy is take that profit. It's a great active business and then take it and go invest it into, you know, depreciable assets like multifamily or like commercial building or, you know, any sort of commercial buildings or industrial or whatever it is.   Sam Wilson (00:22:39) - Is that the long term strategy than to go take your profits from this and park it into passive investments and or your own personal passive investments. Is that kind of the the goal in the long term?   Mason McDonald (00:22:51) - Absolutely. Yeah. I've got I've got one commercial building that I own right now. You know, it's still getting renovated because it's in a small mountain town in Colorado, but it's going to be workforce housing, you know, mountain towns out here that they they're struggling to find affordable housing.   Mason McDonald (00:23:05) - So I enjoy that you're able to help the community provide a safe, low cost, you know, opportunity. That's a rent by the door model. So you end up cash flowing pretty significantly as well. But yeah, so take the profit from land invested in commercial real estate. You know, the one thing I learned about my first deal was it's a lot easier to tackle those big deals than it is the little one. So I'd rather go by, you know? However, big apartment complex over a single family home or small multifamily. So, yeah, take it, take it there. And then also lending money. You know, something I'm getting into now of investing in other people, you know, and allowing them to manage my money for me and then everything else and using it to go have fun, go on vacation and all that kind of stuff too.   Sam Wilson (00:23:50) - Man, that's cool. I love it. There was one one more question. Oh, here it is. I forgot. I forgot what it's going to ask you.   Sam Wilson (00:23:55) - What is like what's the what's a challenge that you're facing inside the land business right now? Like, what's the what's an obstacle that you're like, Man, this is this is something we're working on that I just haven't solved yet.   Mason McDonald (00:24:06) - Yeah, I think for me, um, you know, kind of initial challenges and how they've evolved is so I went from an executive, you know, with hundreds of employees, you know, a couple dozen direct reports and everything to self-employed. So a lot of work wasn't getting done because I was like, Man, someone needs to do that. And then I'd look in the mirror and it's like, Oh, crap, it's me. So I, you know, figured that out and, you know, started working harder and everything like that. But I think for me, it's, you know, effectively managing kind of what we were talking about of the volume businesses versus like the huge business of I've got a ton of those which take more time. And when I look at it and I'm like, Oh, it's only been three weeks since that since I purchased that property, it hasn't sold yet.   Mason McDonald (00:24:48) - So I want more volume in the business rather than more of these big deals to manage that more effectively, I think is one of the biggest challenges. So it's just adjusting My expectation of my cash on cash return per deal doesn't need to be 250%. It can be 50%. And if I can move it way quicker, then then that's perfect. That's money. So kind of adjusting the expectations that I got from the first deal to make it more of a volume business in addition to the other stuff.   Sam Wilson (00:25:18) - Right, right. And last question here for you, and this is again, going back to more the more the operations side of it. But how many of these parcels do you buy, if any, and then end up owner financing those?   Mason McDonald (00:25:29) - I only have a handful of notes right now of the properties. I kind of determine with the realtor whether it makes sense. So it's more the, the rural recreational. I've got maybe ten that I'd be willing to part ways with, you know, from a seller finance perspective.   Mason McDonald (00:25:45) - And the way I look at that is if I sell those on terms one, I'd get most of my cash invested back myself and two, that would sustain all the operating expenses of the business. So I think it's a more property by property approach where, you know, it's just whatever makes sense for your books and your risk level, you know, in case you have to foreclose on someone or, or whatever.   Sam Wilson (00:26:08) - Right. Right. No, absolutely. Absolutely. Mason You've given us a ton of things here to think about today. I love the land business. This is the this is a blast. It's here in your story here and what you've done and how you've done it and you've done it really with a I mean, a pretty light team. It's you and one other person and you've got a rock in business. So I think that's that's fantastic. Thanks for taking the time to come on the show today. If our listeners want to learn more about you or get in touch with you, what is the best way to do that?   Mason McDonald (00:26:35) - Yeah, I'm so happy to be here.   Mason McDonald (00:26:37) - You know, for me, I use LinkedIn the most, so look me up on LinkedIn. Mason McDonald And you know, I help business owners that are looking to get involved in land get started. So I do coaching as well, but I only do it with people that I know are going to be closing deals and being successful. So typically you have to have been a business owner or an executive already. So coaching with Mason and then, you know, you can message me there as well. And if you're looking for investing opportunities, diversify your portfolio either of those places. And we can just chat, chat about land, talk about land all day. So I'm happy to talk to anyone interested.   Sam Wilson (00:27:13) - Sounds good. Awesome. Mason, thank you again for your time. Appreciate it. Have a great rest of your day.   Mason McDonald (00:27:17) - Sam, you did the same.   Sam Wilson (00:27:19) - Hey, thanks for listening to the How to Scale Commercial Real Estate podcast. If you can do me a favor and subscribe and leave us a review on Apple Podcasts, Spotify, Google Podcasts, whatever platform it is you use to listen.   Sam Wilson (00:27:32) - If you can do that for us, that would be a fantastic help to the show. It helps us both attract new listeners as well as rank higher on those directories. So appreciate you listening. Thanks so much and hope to catch you on the next episode.

Commentary by Dr. Candice Silversides

In episode 24, we're joined by Aimee (she/her). Aimee and her husband Jared are parents to their daughter Ivy who's 2 years and 3 months, and are expecting another baby in the next few months.  Aimee takes us through Ivy's pregnancy, a typically ‘normal' pregnancy up until 36 weeks when she was diagnosed with Preeclampsia. Having hoped for a drug-free, vaginal, water birth, she felt that all of her dreams of  birth had been shattered as they spoke about induction and the possibility of a c-section. When Ivy turned around into a breech position, after a failed ECV attempt, and Aimee's hospitalisation for her Preeclampsia, the decision was made for a c-section. Besides being terrified, her caesarean was a positive experience for her.   After her birth, she went into hypertensive crisis, so she shares with us her experience of being taken into ICU as a result. She was put on a magnesium drip for 24 hours and needed the close help from nurses and midwives to help care for Ivy, as she was quite dazed.  Having a fascination with hearing about people's birth and postpartum stories meant Aimee felt pretty prepared for things that would arise in her own postpartum journey. They had the wonderful support of her mother who stayed with them to help with Ivy, and the cooking and cleaning.  Aimee holds a lot of her identity in being busy and independent, and the term ‘Mum' didn't resonate with her during her first pregnancy. But in following mums on social media that she found inspirational helped her to embrace her new identity.  We also get to hear about their experiences with sleep, co-sleeping, gentle parenting, relationship shifts, and surprises that have arisen along the way.  Aimee hosts her own beautiful podcast The Post Party Project. You can listen on Apple or Spotify. Follow our instagram ⁠⁠⁠⁠⁠@definitelybabypodcast⁠⁠⁠⁠ ⁠for photos of weekly guests and episode updates and releases. The Definitely Baby theme music was written by Hagan Mathews and produced at ⁠⁠⁠⁠⁠⁠⁠@sleeplessfootscray⁠⁠⁠⁠⁠⁠⁠. This episode was recorded on the lands of the Whadjuk Noongar people and the Wurundjeri Wilam and Boon Wurrung/Bunurong peoples of the Kulin Nation. This always was and always will be the land of the First Nations peoples. Every month, I Pay The Rent and so can you - click ⁠⁠⁠⁠⁠⁠here ⁠⁠⁠⁠⁠⁠to learn more.

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the June 2023 Emergency Medicine Practice article, Hypertensive Emergencies: Guidelines and Best Practice RecommendationsEpidemiologyEtiologyDifferential diagnosisPrehospital careHistory and physical DiagnosticsTreatmentAcute decompensated heart failureAcute ischemic strokeAcute coronary syndromeIntracerebral hemorrhageSubarachnoid hemorrhageAortic dissectionHypertensive encephalopathySevere pre-eclampsia and eclampsiaControversiesArterial line placementBeta blockers and cocaineRisk management caveatsSummary

Dr. Allison Lankford is an Assistant Professor in the Department of Obstetrics, Gynecology, and Reproductive Services at the University of Maryland. She is a Maternal Fetal Medicine and Critical Care physician at the University of Maryland Medical Center. Dr. Lankford presents a lecture on the "Hypertensive Disorders of Pregnancy" as part of the DC5 Lecture series.

In this episode, we review the high-yield topic of Hypertensive Nephrosclerosis ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Renal section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets --- Send in a voice message: https://podcasters.spotify.com/pod/show/medbulletsstep1/message

Many changes during pregnancy affect your cardiovascular system, which includes your heart and blood vessels. While some changes in blood pressure are normal during pregnancy, hypertensive disorders are among the leading causes of maternal and perinatal mortality worldwide.   Hypertensive disorders of pregnancy include chronic hypertension, gestational hypertension, preeclampsia, HELLP, and eclampsia. High blood pressure during pregnancy can stress your heart and kidneys, leading to heart disease, kidney disease, and stroke. As well as increase your risk for preterm birth, placental abruption, and cesarean birth. High blood pressure can also reduce blood flow to the placenta, affecting the flow of oxygen and nutrients to your baby. You can see why your care provider closely monitors your blood pressure throughout your pregnancy.   The majority of pregnancy-related conditions disappear after you have your baby. Mothers remain at risk for hypertensive disorders after they have their baby, even if they have no symptoms during pregnancy. Your ability to recognize warning signs and promptly seek medical attention can potentially be life-saving.   Thank you to our sponsors   Did you know that your health insurance will cover the cost of a breast pump? It's true! In fact, many health insurance plans also cover milk storage bags, breastfeeding prep courses, and more. At Aeroflow Breastpumps, you can shop top-rated breast pumps from brands like Medela, Spectra, and Motif without ever opening your wallet. Fill out their quick and easy insurance eligibility form, and they'll take care of the rest! It might just be the easiest thing you do this pregnancy.   Zahler goes above and beyond to use high-quality bioavailable ingredients like the active form of folate, bioavailable iron, and omega 3s. Save 20% off the Zahler Prenatal +DHA on Amazon with the code PREPOD20. Email your order number and mailing address to vanessa@pregnancypodcast.com to get a free Core Greens powder. Core Greens contains a blend of powerful superfoods, 29 fruits and vegetables, antioxidants, and prebiotics, all in bioactive forms. You can always see the current promo code for the Zahler prenatal vitamin by clicking here.   10% off Epic Will with the code PREGNANCYPODCAST. Epic Will is an inexpensive and easy way to ensure your family is protected. Get the building blocks of an early estate plan, including a last will and testament, healthcare power of attorney, an advance directive, and a financial power of attorney. I know we don't want to think about not being there for our kids. Secure your future in as little as five minutes and have peace of mind that your family's future is safe with legally binding documents built by an attorney.   Read the full article and resources that accompany this episode.   Join Pregnancy Podcast Premium to access the entire back catalog, listen to all episodes ad-free, get a copy of the Your Birth Plan Book, and more.   Check out the 40 Weeks podcast to learn how your baby grows each week and what is happening in your body. Plus, get a heads up on what to expect at your prenatal appointments and a tip for dads and partners.   For more evidence-based information, visit the Pregnancy Podcast website.

Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode. Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.

This mini lecture focuses on hypertensive emergency's as a relates to the OB patient. --- Send in a voice message: https://anchor.fm/thepublicsafetyguru/message

ESC TV Today brings you concise analysis from the world's leading experts, so you can stay on top of what's happening in your field quickly. This episode covers: Cardiology This Week: A concise summary of recent studies Artificial intelligence in cardiology – What to expect Hypertension and anti-hypertensive therapy in women Snapshots Host: Susanna Price Guests: Stephan Achenbach, Martin Cowie and Angela Maas Want to watch that episode? Go to: https://esc365.escardio.org/event/907 Disclaimer This programme is intended for health care professionals only and is to be used for educational purposes. The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices. Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC.  Declarations of interests Stephan Achenbach, Nicolle Kraenkel, Angela Maas and Susanna Price have declared to have no potential conflicts of interest to report. Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, Alnylam, Amgen, AstraZeneca, Bayer, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, Lilly, Novartis, Pfizer, Sanofi, Servier, Tecnimede. Davide Capodanno has declared to have potential conflicts of interest to report: Sanofi, Daiichi Sankyo, Terumo, Medtronic, Chiesi. Martin Cowie has declared to have potential conflicts of interest to report: employed by AstraZeneca as Clinical Vice President, Late Stage CVRM, Biopharmaceuticals R&D. Emma Svennberg has declared to have potential conflicts of interest to report: institutional research grants from Bayer, Bristol-Myers, Squibb-Pfizer, Boehringer- Ingelheim, Johnson & Johnson, Merck Sharp & Dohme.

In the next episodes, I'm going to have friends sharing their birth stories while experiencing HELLP syndrome during their pregnancies. In this episode, I give an overview of HELLP syndrome and other hypertensive disorders of pregnancy. This episode will help moms gain an understanding of what to expect if they are diagnosed with high blood pressure during pregnancy. It is also a great overview for nursing students and new nurses. To gain even more insight, go back and listen to Mike Goldstein's episode explaining the Hematologic Changes of Pregnancy (air date Nov. 25, 2022) Coaching offerSupport the showConnect with Kelly Hof at kellyhof.comMedical Disclaimer:This podcast is intended as a safe space for women to share their birth experiences. It is not intended to provide medical advice. Each woman's medical course of action is individual and may not appropriately transfer to another similar situation. Please speak to your medical provider before making any medical decisions. Additionally, it is important to keep in mind that evidence based practice evolves as our knowledge of science improves. To the best of my ability I will attempt to present the most current ACOG and AWHONN recommendations at the time the podcast is recorded, but that may not necessarily reflect the best practices at the time the podcast is heard. Additionally, guests sharing their stories have the right to autonomy in their medical decisions, and may share their choice to go against current practice recommendations. I intend to hold space for people to share their decisions. I will attempt to share the current recommendations so that my audience is informed, but it is up to each individual to choose what is best for them.

Show notes at pharmacyjoe.com/episode774. In this episode, I'll discuss oral antihypertensive timing for hypertensive urgency. The post 774: Is sooner better for starting oral antihypertensives after hypertensive urgency? appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode774. In this episode, I ll discuss oral antihypertensive timing for hypertensive urgency. The post 774: Is sooner better for starting oral antihypertensives after hypertensive urgency? appeared first on Pharmacy Joe.

Today, in episode 670 our expert Infectious Disease Doctor and Community Health Specialist discuss what you need to know about Public Health. We talk about new research that shows how IVF may lead to a higher degree of hypertensive disorders in women. As always, join us for all the Public Health information you need, explained clearly by our health experts. Website: NoiseFilter - Complex health topics explained simply (noisefiltershow.com) Animations: NoiseFilter - YouTube Instagram: NoiseFilter (@noisefiltershow) • Instagram photos and videos Facebook: NoiseFilter Show | Facebook TikTok: https://www.tiktok.com/@noisefiltershow --- Send in a voice message: https://anchor.fm/noisefilter/message

In this episode, we review the high-yield topic of Hypertensive Urgency And Emergency from the Cardiovascular section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets

In this episode, Shanna Cox, associate director for science in CDC's Division of Reproductive Health, and Aisha Syeda, senior program manager for AHA's strategic initiatives, discuss the reasons behind the increase in hypertensive disorders of pregnancy, its health outcomes, and what hospitals can do to identify and prevent associated complications. Additionally, Cox shares strategies and resources hospitals can use to guide this work with equity in mind, including assets from the CDC's Hear Her campaign.

Commentary by Dr. Valentin Fuster

Looking for more information on this topic? Check out the Emergent Hypertension brick. If you enjoyed this episode, we'd love for you to leave a review on Apple Podcasts.  It helps with our visibility, and the more med students (or future med students) listen to the podcast, the more we can provide to the future physicians of the world. Follow USMLE-Rx at: Facebook: www.facebook.com/usmlerx Blog: www.firstaidteam.com Twitter: https://twitter.com/firstaidteam Instagram: https://www.instagram.com/firstaidteam/ YouTube: www.youtube.com/USMLERX Learn how you can access over 150 of our bricks for FREE: https://usmlerx.wpengine.com/free-bricks/ from our Musculoskeletal, Skin, and Connective Tissue collection, which is available for free. Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including nearly 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology.

James Anstey provides his thoughts on the recent developments in delayed cerebral ischaemia following a subarachnoid haemorrhage (SAH). Unlike TBI, where outcomes have plateaued after 20 years, outcomes have steadily improved for aneurysmal SAH. Early intervention, with an increasing amount of coiling as opposed to clipping as well as ICU all likely playing a part.   However, there is still a subsection of patients who deteriorate three days or more post their event. This is likely due to delayed cerebral ischaemia (as opposed to pure vasospasm). This is a diagnosis of exclusion in a patient who deteriorates after three days post bleed and without hydrocephalus, seizures, infection or another identifiable causal pathology.   There are several pathophysiological factors at play. Firstly, microcirculatory problems, including vasoconstriction in capillary beds and clumping with endothelial damage. This is perhaps why treatments to improve perfusion have had little success. Next, a combination of cortical spreading ischaemia and angiographic vasospasm.   Gold standard diagnosis of vasospasm remains the catheters angiography. Transcranial Doppler and CT angiography are both being used more and more and certainly have a role to play. CT angiography in particular stacks up reasonably well to catheter angiography and has a negative predictive value approaching 100%. One potential problem is overcalling the narrowing at times and has occasional artefacts. Transcranial Doppler is used occasionally however has challenges with reliable operators, is user dependent and only visualises a part of the cerebral circulation.    Patients deteriorate, and we of course want to make sense of it. But what do we do thereafter? Hypertensive therapy with the aim to improve cerebral perfusion is often the go to method. James shares his thoughts on this technique, with reference to the current literature. Similarly, we diagnose vessel narrowing as the problem, however therapies that reverses this does not seem to confer good clinical outcomes. There is a large list of failed therapies because of this fact.    This raises lots of questions about this patient group. Jame's main messages are to not become obsessive with vasospasm, use CT angiography as a good substitute for catheter angiography and be cautious of vasodilator therapies as they generally do not seem to affect long term prognosis. This #CodaPodcast was recorded in November 2018 as part of Brain, a CICM Neuro Special Interest Group meeting. For more like this, head to our podcast page. #CodaPodcast